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Commissioner from the Internal Revenue Service," United States Court of Appeals to the Seventh Circuit. In 1990 the American College of Rheumatology recognized fibromyalgia as being a formal disease state. Others worked using the depression, but caused major weight gain (think 100 pounds in 5 months) which experts claim caused more depression (Remeron and Effexor were the culprits for the reason that case). Most prescription medications generally can cause hefty side effects. Also, this extended released of serotonin and norepinephrine would alter the way my brain perceived continuous pain. SAD is really a type of anxiety, sadness or depression that occurs at the identical time in the year on a recurring basis. In diagnosing patients, proper laboratory work-up for thyroid and anemia should be preformed. 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